Mechanism of Change in Cognitive-Behavioral Treatment of Panic Disorder: Evidence for the Fear of Fear Mediational Hypothesis.

Smits, Jasper A.J.; Powers, Mark B.; Cho, Yongrae; Telch, Michael J.

doi:10.1037/0022-006x.72.4.646

Cited by 199 publications

(150 citation statements)

References 43 publications

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“…NJREs might also be considered (and investigated) as a putative marker for OCD, in the same way in which the construct Anxiety Sensitivity (AS) is deemed a psychological marker of anxiety disorders in general and panic disorder in particular (e.g., Brown, Smits, Powers, & Telch, 2003;Rapee & Medoro, 1994;Schmidt, Lerew, & Jackson, 1997;Smits, Powers, Cho, & Telch, 2004; see literature on endophenotypes, Chamberlain et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

Ghisi

Chiri

Marchetti

et al. 2010

Journal of Anxiety Disorders

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The cognitive model of OCD proposes that certain beliefs may contribute to the development and maintenance of this disorder. To date, however, it is not yet clear which beliefs are more relevant for explaining OCD symptomatology; moreover, their causal status is yet to be clearly established. In the effort to identify other constructs and processes related to OCD, the phenomenon labeled "not just right experiences" (NJREs) has received increasing attention. In this study, measures of NJREs (the NJRE-Q-R), OCD symptoms, general distress (i.e., anxiety, and depression), and perfectionism were administered to a large sample of college students and a small sample of OCD and non-OCD patients. The clinical sample completed also a measure of OC beliefs. Results showed that NJREs could be reliably measured through a self-report format in non-clinical and clinical Italian individuals. A specific association between NJREs severity and OCD symptoms was found in the non-clinical sample, after controlling for anxiety, depression and perfectionism. The NJRE-Q-R Severity scale clearly discriminated OCD patients from patients with other anxiety disorders or depression. Lastly, the NJREs measure differentiated the clinical groups when OC beliefs were controlled, whereas OC beliefs did not discriminate among the groups after NJREs severity was controlled. The concept of NJREs may contribute to improve current psychological and biological model of OCD.

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Section: Discussionmentioning

confidence: 99%

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

Ghisi

Chiri

Marchetti

et al. 2010

Journal of Anxiety Disorders

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“…Internal validity is good (Cronbach's alpha from .82-.92; Alpers and Pauli, 2002). Studies have found the ASI to mediate treatment outcome in PD (Smits, Powers, Cho, Telch, 2004). In this study, the ASI was examined as a predictor of treatment outcome.…”

Section: Assessmentmentioning

confidence: 98%

Long-term stability of cognitive behavioral therapy effects for panic disorder with agoraphobia: A two-year follow-up study

Gloster

Hauke

Höfler

et al. 2013

Behaviour Research and Therapy

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“…The hypothesis that the effects of CBT would be mediated by changes in orthostatic panic severity was tested in accordance with the analytic steps outlined by Baron and Kenny [1986] [for a description of the same analytic strategy as used in another study, see Smits et al, 2004]:…”

Section: Statistical Analysesmentioning

confidence: 99%

The Panic Attack–Posttraumatic Stress Disorder Model: Applicability to Orthostatic Panic Among Cambodian Refugees

Hinton

Hofmann

Pitman

et al. 2008

Cognitive Behaviour Therapy

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This article examines the ability of the "Panic Attack-PTSD Model" to predict how panic attacks are generated and how panic attacks worsen posttraumatic stress disorder (PTSD). The article does so by determining the validity of the Panic Attack-PTSD Model in respect to one type of panic attacks among traumatized Cambodian refugees: orthostatic panic (OP) attacks, that is, panic attacks generated by moving from lying or sitting to standing. Among Cambodian refugees attending a psychiatric clinic, we conducted two studies to explore the validity of the Panic Attack-PTSD Model as applied to OP patients, meaning patients with at least one episode of OP in the previous month. In Study 1, the "Panic Attack-PTSD Model" accurately indicated how OP is seemingly generated: among OP patients (N = 58), orthostasis-associated flashbacks and catastrophic cognitions predicted OP severity beyond a measure of anxious-depressive distress (SCL subscales), and OP severity significantly mediated the effect of anxious-depressive distress on CAPS severity. In Study 2, as predicted by the Panic Attack-PTSD Model, OP had a mediational role in respect to the effect of treatment on PTSD severity: among Cambodian refugees with PTSD and comorbid OP who participated in a CBT study (N = 56), improvement in PTSD severity was partially mediated by improvement in OP severity.

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Mechanism of Change in Cognitive-Behavioral Treatment of Panic Disorder: Evidence for the Fear of Fear Mediational Hypothesis.

Cited by 199 publications

References 43 publications

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

In search of specificity: “Not just right experiences” and obsessive–compulsive symptoms in non-clinical and clinical Italian individuals

Long-term stability of cognitive behavioral therapy effects for panic disorder with agoraphobia: A two-year follow-up study

The Panic Attack–Posttraumatic Stress Disorder Model: Applicability to Orthostatic Panic Among Cambodian Refugees

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